CHI91LA173

NTSB accident investigation · Gulfstream American AA1A · Evansville, IN · May 28, 1991

Accident · Serious injuriesLimited investigationFinal report
Date
May 28, 1991, 16:30 local (21:30 UTC)
Place
Evansville, IN
Injuries
2 serious
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N5675LGulfstream American AA1A
Weather
Visual (VMC) · Day
Status
Completed · report March 31, 1993
Report
Approved by Office Director
FAA report
19910528017589A
Case key
15080

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

The failure by maintenance personnel to identify the proper replacement cylinder.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Loss of engine power(total) - mech failure/malfTakeoff - initial climb
Engine assembly,cylinder - improper
Maintenance,replacement - improperOther maintenance personnelCause
Engine assembly,piston - seized
Forced landingDescent - emergency
Hard landingDescent - emergency
Object - wire,transmission
Proper glidepath - not possible

Analysis

The single engine airplane departed on its first flight after maintenance involving replacement of a cylinder. Passing 200 feet on climbout, the pilot in command observed engine RPM and power decreasing. Unable to return to the field, the pilot executed an off airport forced landing. Engine examination after the accident revealed a used cylinder with a standard size bore had been installed as a replacement. The remaining cylinders and all pistons were 0.010 inch oversize.

Aircraft

Registration
N5675L
Reported as
Gulfstream American AA1A
Category
Airplane
Serial number
0075
Engine
Lycoming O-235-C2C, 100 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Fireside Gallery, Inc.
Registered owner
Fireside Gallery, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 28, 1991

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
62
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Right
Flight hours
5,765 total · 17 in this make and model · 5,578 as pilot in command · 79 in the last 90 days · 42 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
170° at 7 knots
Visibility
10 statute miles
Lowest ceiling
25,000 ft broken
Temperature
88 °F, dew point 75 °F
Altimeter
30.00 inHg
Observed at
EVV, 6 nm away

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.